Dental Board of California
Licensing details for: 4805
Name: COMMUNITY DENTAL CARE, DENTAL OFFICE OF
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Address of Record
1729 TERMINO AVE
LONG BEACH CA 90804
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MIRANDA, NORMA A
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: RUIZ, ADRIAN RAMSEY
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: RUIZ, ADRIAN RAMSEY
License/Registration Type: Dentist License
License Number: 42768 Primary Status: Current - Active
Address :
1680 TANGIERS DR
HENDERSON NV 89012
CLARK COUNTY
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: MIRANDA, NORMA A
License/Registration Type: Dentist License
License Number: 25759 Primary Status: Current - Active
Address :
1729 Termino Ave
STE A
LONG BEACH CA 90804-2121
LOS ANGELES COUNTY
